MRS. KELLY MARIE LANGE M.A, L.L.P - NPI 1568644292

Q: What is Kelly Lange's NPI number?

The NPI number for Kelly Lange is 1568644292. It was assigned to this individual provider in the NPPES registry on December 5, 2007.

Q: What is Kelly Lange's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Lange was last updated on August 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Mrs. Kelly Marie Lange M.a, L.l.p NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KELLY MARIE LANGE M.A, L.L.P (NPI 1568644292) is an individual clinical provider in Plymouth, Michigan, licensed in Michigan (L1021506) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1568644292

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMRS. KELLY MARIE LANGECredential: M.A, L.L.P

Location Address42189 ANN ARBOR RD EPlymouth, MI 48170-4370

Mailing Address42189 Ann Arbor Rd EPlymouth, MI 48170-4370 · (734) 754-1172

Phone(734) 754-1172

Sole ProprietorYes

Enumeration DateDecember 5, 2007

Last NPPES UpdateAugust 16, 2016

✔ NPI 1568644292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MI · L1021506

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

42189 ANN ARBOR RD E, Plymouth, MI 48170

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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Social Worker (Clinical)